Our specialty has been significantly divided into subspecialties that range from head and neck, to otology/neurotology, to facial plastics, to rhinology, to name a few. Within these subspecialties there has been further delineation of defined clinical roles and expertise, some of which are applicable to the practitioner of the specialty as a whole, some of which are germane only to a finite and select few. Our Combined Otolaryngology Spring Meeting which has been a cohesive factor for the continuing education and contemporary and timely transfer of information to the practitioner appears to be disintegrating what with subspecialty societies opting out of participation in this concise 5- to 7-day meeting in preference to attending a separate and isolated meeting.